Effect of body mass index on hemiparetic gait.
Effect of body mass index on hemiparetic gait.
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DOI：
10.1016/j.pmrj.2014.03.012
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发表时间：
2014-10
期刊：
影响因子：
--
通讯作者：
Chae J
中科院分区：
文献类型：
--
作者：
Sheffler LR;Bailey SN;Gunzler D;Chae J
评估慢性轻偏瘫脑卒中幸存者体重指数与时空、运动学和动力学步态参数之间的关系。对一项随机对照试验中收集的数据进行二次分析，比较两种12周的运动训练治疗。学术医疗中心慢性偏瘫中风幸存者（n=108，卒中后> 3个月）对体重指数（BMI）和使用定量步态分析记录的选择的治疗前步态参数进行线性回归分析。（缺血性与出血性）、卒中后间期、运动损伤水平（Fugl-Meyer评分），步行速度发现BMI与步宽（m）呈正相关（β=.364，p<.001），与站立期间非麻痹肢体的峰值髋外展角（度）正相关（β= 0.177，p= 0.040），与麻痹肢体初始接触时的踝关节背屈角（deg）呈负相关（β=-0.222，p= 0.023），与瘫痪肢体蹬离时的踝关节峰值功率（W/kg）呈负相关（β=-0.142，p= 0.026）。当以相似的速度行走时，与具有较低BMI和相似运动损伤水平的中风受试者相比，具有较高BMI的慢性轻偏瘫中风受试者表现出更大的步宽，更大的轻瘫下肢髋关节远足，在初始接触时更少的轻瘫肢体背屈，以及更少的轻瘫踝关节在蹬离时的力量。进一步的研究是必要的，以确定这些结果的临床相关性与康复策略的偏瘫患者步态功能障碍的BMI较高。
To evaluate the relationship between body mass index and spatiotemporal, kinematic, and kinetic gait parameters in chronic hemiparetic stroke survivors. Secondary analysis of data collected in a randomized controlled trial comparing two 12-week ambulation training treatments. Academic medical center Chronic hemiparetic stroke survivors (n=108, > 3 months post-stroke) Linear regression analyses were performed of body mass index (BMI) and selected pretreatment gait parameters recorded using quantitative gait analysis Spatiotemporal, kinematic, and kinetic gait parameters A series of linear regression models which controlled for age, gender, stroke type (ischemic versus hemorrhagic), interval post-stroke, level of motor impairment (Fugl-Meyer score), and walking speed found BMI to be positively associated with step width (m) (β=.364, p<.001), positively associated with peak hip abduction angle of the nonparetic limb during stance (deg) (β=.177, p=.040), negatively associated with ankle dorsiflexion angle at initial contact of the paretic limb (deg)(β=-.222, p=.023), and negatively associated with peak ankle power at push-off (W/kg) of the paretic limb (W/kg)(β=-.142, p=.026). When walking at a similar speed, chronic hemiparetic stroke subjects with a higher BMI demonstrated greater step width, greater hip hiking of the paretic lower limb, less paretic limb dorsiflexion at initial contact, and less paretic ankle power at push-off as compared to stroke subjects with a lower BMI and similar level of motor impairment. Further studies are necessary to determine the clinical relevance of these findings with respect to rehabilitation strategies for gait dysfunction in hemiparetic patients with higher BMIs.
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DOI：
10.1097/00001648-199001000-00010
发表时间：
1990-01-01
期刊：
Epidemiology (Cambridge, Mass.)
影响因子：
--
作者：
Rothman, K J
通讯作者：
Rothman, K J
影响因子：
2.7
作者：
Greve, Julia;Alonso, Angelica;Camanho, Gilberto Luis
通讯作者：
Camanho, Gilberto Luis
DOI：
10.1249/mss.0b013e318076b54b
发表时间：
2007-09-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Browning, Raymond C.;Kram, Rodger
通讯作者：
Kram, Rodger
影响因子：
120.7
作者：
Alley, Dawn E.;Chang, Virginia W.
通讯作者：
Chang, Virginia W.
DOI：
10.1038/oby.2002.101
发表时间：
2002-08-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Apovian, CM;Frey, CM;Jensen, GL
通讯作者：
Jensen, GL